Nursing Home Alerts

Hubble Creek

1115 K Land Drive, Jackson, MO 63755

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Hubble Creek is a nursing home in Jackson, Missouri. This page lists the citations, fines and star ratings that CMS publishes for it. Each one has a date and a link to CMS.

This page uses data from the Centers for Medicare & Medicaid Services (CMS), published on October 28, 2026. CMS updates its data about once a month.

CMS star ratings

Facts from CMS

Phone
(573) 243-8989
Last standard health inspection
February 12, 2026 (8 months ago)
Certified beds
105
Residents per day, on average
63.5
Ownership type
For profit - Limited Liability company
Legal business name
Hubble Creek LLC
Chain
Paradigm Senior Management
Takes part in
Medicare and Medicaid

More health citations than the Missouri average (39 vs 36).

Inspections, fines and changes

This list shows every citation and fine in CMS's current data, which covers about the last three years. It also shows changes CMS made to this home's ratings and records.

  1. CMS update of October 28, 2026

    • Star rating

      The CMS staffing star rating changed from 1 of 5 to 2 of 5.

    • Star rating

      The CMS quality measures star rating changed from 2 of 5 to 1 of 5.

    • Changed ownership in the last 12 months

      CMS no longer shows a change of ownership in the past 12 months.

  2. CMS update of July 29, 2026

    • Star rating

      The CMS quality measures star rating changed from 3 of 5 to 2 of 5.

    • Changed ownership in the last 12 months

      CMS records show a change of ownership in the past 12 months.

  3. CMS update of May 27, 2026

    • Star rating

      The CMS overall star rating changed from 1 of 5 to 3 of 5.

    • Star rating

      The CMS health inspection star rating changed from 2 of 5 to 4 of 5.

  4. CMS update of April 29, 2026

    • Ownership

      CMS lists this home under a new chain.

  5. CMS update of February 25, 2026

    • Star rating

      The CMS overall star rating changed from 2 of 5 to 1 of 5.

    • Star rating

      The CMS staffing star rating changed from 3 of 5 to 1 of 5.

    • Star rating

      The CMS quality measures star rating changed from 4 of 5 to 3 of 5.

    • Name

      CMS lists a new legal business name for this home.

    • Staffing

      Total nurse staffing reported to CMS went from 4.2 to 2.6 hours per resident per day.

  6. 6 citations

    Health inspection on February 12, 2026

    CMS lists this as a standard inspection.

    • Citation F0943. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.

      CMS lists it as corrected on March 28, 2026.

    • Citation F0552. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure that residents are fully informed and understand their health status, care and treatments.

      CMS lists it as corrected on March 28, 2026.

    • Citation F0689. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

      CMS lists it as corrected on March 28, 2026.

      CMS has cited this home for F0689 3 times since 2023.

    • Citation F0755. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

      CMS lists it as corrected on March 28, 2026.

      CMS has cited this home for F0755 2 times since 2023.

    • Citation F0761. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

      CMS lists it as corrected on March 28, 2026.

      CMS has cited this home for F0761 2 times since 2023.

    • Citation F0880. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide and implement an infection prevention and control program.

      CMS lists it as corrected on March 28, 2026.

      CMS has cited this home for F0880 3 times since 2023.

    See this home on CMS Care Compare

  7. 4 citations

    Fire safety inspection on February 12, 2026

    CMS lists this as a standard inspection.

    • Citation K0223. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

      CMS lists it as corrected on March 28, 2026.

    • Citation K0353. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Inspect, test, and maintain automatic sprinkler systems.

      CMS lists it as corrected on March 28, 2026.

    • Citation K0222. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

      CMS lists it as corrected on March 28, 2026.

      CMS has cited this home for K0222 2 times since 2024.

    • Citation K0920. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure proper usage of power strips and extension cords.

      CMS lists it as corrected on March 28, 2026.

      CMS has cited this home for K0920 2 times since 2023.

    See this home on CMS Care Compare

  8. CMS update of December 15, 2025

    • Name

      CMS lists a new legal business name for this home.

    • Ownership

      CMS no longer lists a chain for this home.

  9. CMS update of November 20, 2025

    • Star rating

      The CMS overall star rating changed from 1 of 5 to 2 of 5. CMS changed how it scores this rating for many homes at once.

    • Star rating

      The CMS quality measures star rating changed from 1 of 5 to 4 of 5.

    • Name

      CMS lists a new name for this home. It was MONTICELLO HOUSE.

    • Fine

      CMS changed the fine from August 4, 2023 from $26,628 to $10,726.

  10. CMS update of July 30, 2025

    • Star rating

      The CMS health inspection star rating changed from 1 of 5 to 2 of 5. CMS changed how it scores this rating for many homes at once.

    • Star rating

      The CMS quality measures star rating changed from 2 of 5 to 1 of 5.

    • Staffing

      Total nurse staffing reported to CMS went from 4.2 to 3.6 hours per resident per day.

  11. CMS update of April 30, 2025

    • Star rating

      The CMS quality measures star rating changed from 3 of 5 to 2 of 5.

  12. CMS update of February 26, 2025

    • Star rating

      The CMS staffing star rating changed from 2 of 5 to 3 of 5.

    • Star rating

      The CMS quality measures star rating changed from 4 of 5 to 3 of 5. CMS changed how it scores this rating for many homes at once.

  13. CMS update of December 20, 2024

    • Fine

      CMS changed the fine from August 4, 2023 from $26,110 to $26,628.

  14. 13 citations

    Health inspection on November 8, 2024

    CMS lists this as a standard inspection.

    • Citation F0584. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

      CMS lists it as corrected on December 20, 2024.

      CMS has cited this home for F0584 2 times since 2023.

    • Citation F0623. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

      CMS lists it as corrected on December 20, 2024.

    • Citation F0625. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

      CMS lists it as corrected on December 20, 2024.

    • Citation F0689. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

      CMS lists it as corrected on December 20, 2024.

    • Citation F0695. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide safe and appropriate respiratory care for a resident when needed.

      CMS lists it as corrected on December 20, 2024.

    • Citation F0728. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.

      CMS lists it as corrected on December 20, 2024.

    • Citation F0730. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Observe each nurse aide's job performance and give regular training.

      CMS lists it as corrected on December 20, 2024.

      CMS has cited this home for F0730 2 times since 2023.

    • Citation F0756. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

      CMS lists it as corrected on December 20, 2024.

    • Citation F0759. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure medication error rates are not 5 percent or greater.

      CMS lists it as corrected on December 20, 2024.

    • Citation F0812. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

      CMS lists it as corrected on December 20, 2024.

      CMS has cited this home for F0812 2 times since 2023.

    • Citation F0868. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

      CMS lists it as corrected on December 20, 2024.

      CMS has cited this home for F0868 2 times since 2023.

    • Citation F0880. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide and implement an infection prevention and control program.

      CMS lists it as corrected on December 20, 2024.

    • Citation F0947. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

      CMS lists it as corrected on December 20, 2024.

    See this home on CMS Care Compare

  15. 2 citations

    Fire safety inspection on November 8, 2024

    CMS lists this as a standard inspection.

    • Citation K0222. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

      CMS lists it as corrected on December 20, 2024.

    • Citation K0918. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Have generator or other power source capable of supplying service within 10 seconds.

      CMS lists it as corrected on December 20, 2024.

      CMS has cited this home for K0918 2 times since 2023.

    See this home on CMS Care Compare

  16. CMS update of October 30, 2024

    • Star rating

      The CMS staffing star rating changed from 1 of 5 to 2 of 5.

  17. CMS update of August 29, 2024

    • Fine

      CMS changed the fine from August 4, 2023 from $40,169 to $26,110.

  18. CMS update of July 31, 2024

    • Star rating

      The CMS overall star rating changed from 2 of 5 to 1 of 5.

    • Star rating

      The CMS staffing star rating changed from 3 of 5 to 1 of 5. CMS changed how it scores this rating for many homes at once.

    • Star rating

      The CMS quality measures star rating changed from 5 of 5 to 4 of 5.

    • Staffing

      Total nurse staffing reported to CMS went from 3.1 to 2.7 hours per resident per day.

  19. CMS update of April 25, 2024

    • Fine

      CMS changed the fine from May 18, 2023 from $39,990 to $25,994.

    • Fine

      CMS changed the fine from August 4, 2023 from $136,110 to $40,169.

  20. 1 citation

    Health inspection on February 21, 2024

    CMS lists this as a complaint inspection.

    • Citation F0677. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide care and assistance to perform activities of daily living for any resident who is unable.

      CMS lists it as corrected on April 11, 2024.

    See this home on CMS Care Compare

  21. CMS update of January 31, 2024

    • Star rating

      The CMS overall star rating changed from 3 of 5 to 2 of 5.

    • Star rating

      The CMS health inspection star rating changed from 2 of 5 to 1 of 5.

    • Health citation

      CMS changed citation F0880 from severity F to K. It is from the health inspection on August 4, 2023. Severity K: immediate jeopardy, pattern.

  22. 19 citations

    Health inspection on August 4, 2023

    CMS lists this as a standard inspection.

    Severity K is the highest of CMS's four levels. CMS uses it when residents' health or safety is at serious risk right away.

    34 of 486 Missouri homes (7%) got a citation at the immediate jeopardy level in 2023.

    • Citation F0880. Severity K: immediate jeopardy, pattern.

      The rule CMS cited: Provide and implement an infection prevention and control program.

      CMS lists it as corrected on December 15, 2023.

    • Citation F0812. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

      CMS lists it as corrected on September 18, 2023.

    • Citation F0814. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Dispose of garbage and refuse properly.

      CMS lists it as corrected on September 18, 2023.

    • Citation F0584. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

      CMS lists it as corrected on September 18, 2023.

    • Citation F0656. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

      CMS lists it as corrected on September 18, 2023.

    • Citation F0578. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

      CMS lists it as corrected on September 18, 2023.

    • Citation F0604. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

      CMS lists it as corrected on September 18, 2023.

    • Citation F0641. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure each resident receives an accurate assessment.

      CMS lists it as corrected on September 18, 2023.

    • Citation F0660. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Plan the resident's discharge to meet the resident's goals and needs.

      CMS lists it as corrected on September 18, 2023.

    • Citation F0661. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

      CMS lists it as corrected on September 18, 2023.

    • Citation F0684. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide appropriate treatment and care according to orders, resident’s preferences and goals.

      CMS lists it as corrected on September 18, 2023.

    • Citation F0689. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

      CMS lists it as corrected on November 1, 2023.

    • Citation F0690. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

      CMS lists it as corrected on November 1, 2023.

    • Citation F0730. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Observe each nurse aide's job performance and give regular training.

      CMS lists it as corrected on September 18, 2023.

    • Citation F0755. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

      CMS lists it as corrected on September 18, 2023.

    • Citation F0758. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

      CMS lists it as corrected on September 18, 2023.

    • Citation F0761. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

      CMS lists it as corrected on September 18, 2023.

    • Citation F0868. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

      CMS lists it as corrected on September 18, 2023.

    • Citation F0883. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Develop and implement policies and procedures for flu and pneumonia vaccinations.

      CMS lists it as corrected on September 18, 2023.

    See this home on CMS Care Compare

  23. 5 citations

    Fire safety inspection on August 4, 2023

    CMS lists this as a standard inspection.

    • Citation K0355. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Properly select, install, inspect, or maintain portable fire extinguishes.

      CMS lists it as corrected on September 18, 2023.

    • Citation K0712. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Have simulated fire drills held at unexpected times.

      CMS lists it as corrected on September 18, 2023.

    • Citation K0918. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Have generator or other power source capable of supplying service within 10 seconds.

      CMS lists it as corrected on September 18, 2023.

    • Citation K0923. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Have proper medical gas storage and administration areas.

      CMS lists it as corrected on September 18, 2023.

    • Citation K0920. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure proper usage of power strips and extension cords.

      CMS lists it as corrected on September 18, 2023.

    See this home on CMS Care Compare

Owners and managers

CMS lists these owners and managers for this home. Names are as CMS writes them.

Questions

When was Hubble Creek last inspected?

CMS lists February 12, 2026 as the date of its most recent standard health inspection.

How many citations (violations) does Hubble Creek have?

CMS lists 39 health citations since August 4, 2023. CMS also calls these deficiencies.

Has Hubble Creek been fined?

CMS lists no fines for this home in the past three years.

What is the CMS star rating of Hubble Creek?

Its CMS overall star rating is 3 of 5.

Is Hubble Creek a Special Focus Facility?

No. CMS does not list it as a Special Focus Facility or a candidate.

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